| Doctor Name: | JOCELIN SISTO |
| NPI Number: | 1053515262 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 085-002605 |
| Business Practice Address: | 5201 Willow Springs Rd Ste 380 La Grange Highlands, IL - 605256539 |
| Business Phone Number: | 7085790018 |
| Business Fax Number: | 7083540264 |
| Mailing Address: | Po Box 7009, BOLINGBROOK |
| State: | IL |
| Postal Code: | 604407009 |
| Phone Number: | 7085790018 |
| Fax Number: | 7083540264 |
| NPI Enumeration Date: | 06/12/2007 |
| NPI Last Update Date: | 03/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 085-002605 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |